性别/性别差异在预防性转诊移植的性别差异
Jessica L Harding1,2,3, Annika Gompers1, Mengyu Di4
1Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Kidney international reports
|July 31, 2024
概括
预防性移植转诊对男性和女性来说是相似的,减轻了等候名单上的不平等. 然而,尽管女性的健康状况良好,但她们的活体供体移植率仍然较低.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植 移植 移植 移植
- 健康 公平 卫生 公平
背景情况:
- 在移植的获取方面,性别差异仍然存在.
- 预防性转诊在这些不平等中的作用尚未得到充分理解.
研究的目的:
- 调查预防性转诊率是否因性别/性别而异.
- 检查预防性转诊对等待名单和活体供体移植结果的影响,按性别分类.
主要方法:
- 在美国东南部 (2015-2019) 开始置换治疗的成年患者的分析.
- 将USRDS数据与E-STAR联系起来,以获得预防性转诊和移植结果.
- 逻辑学和考克斯比例危险模型用于评估性别/性别关联.
主要成果:
- 男性和女性的先发性转诊率相似 (OR:0.99).
- 预防性转诊患者等待名单中没有性别/性别差异 (HR:0.97).
- 预防性转诊的女性接受活体供体移植的可能性降低了25% (HR:0.75).
结论:
- 预防性转介是公平的性别/性别,并部分缓解等待列表的差异.
- 在活体捐赠者移植中,性别/性别不平等仍然存在.
- 预防性转诊的女性的健康状况比男性更好,但活体供体移植率较低.
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